Active NPI
Keith Mazanowski, DC
- Chiropractor
- Eatontown, NJ
National Provider Identifier
1497820427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC02570
- Practice address
- 285 Parker Road
Eatontown, NJ 07724 - Phone
- (732) 229-3344
- Fax
- (732) 728-0870
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MC02570 | NJ | Primary |
Addresses
Primary practice location
285 Parker Road
Eatontown, NJ 07724
Mailing address
450 Shrewsbury Plaza
Suite 291
Shrewsbury, NJ 07702
Phone (732) 229-3344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC02570 | NJ | MD | Chiropractor |
Interoperability endpoints
- recoveryzone.keithmazanowski@155232.advancedmd-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497820427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 SHREWSBURY PLAZA",
"address_2": "SUITE 291",
"city": "SHREWSBURY",
"state": "NJ",
"postal_code": "07702",
"telephone_number": "732-229-3344",
"fax_number": "732-728-0870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 PARKER ROAD",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "07724",
"telephone_number": "732-229-3344",
"fax_number": "732-728-0870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZANOWSKI",
"first_name": "KEITH",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC02570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eatontown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.